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Federal forms, ICRs, and supporting documents

Information Collection

57.507 Home Dialysis Center Practices Survey

IC 222908 under ICR 202603-0920-006 · OMB 0920-0666.

Documents and Forms
Document Name
Document Type
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

57.507 Home Dialysis Center Practices Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 57.507 Home Dialysis Center Practices Survey 57.507 Home Survey-2026 Clean Version_09292025.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

550 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 550 0 0 0 0 550
Annual IC Time Burden (Hours) 596 0 0 0 0 596
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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